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BRER2015-001378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRER2015-0013 Owner: Property Address: 80218 HERMITAGE MICHAEL BRINDA APN: 762230028 3 SKYCREST Application Description: PGA WEST RES II HOA REROOF IRVINE, CA 92253 Property Zoning: Application Valuation: $19,493.00 Applicant: WILLIAMS ROOFING P 0 BOX 391841 ANZA, CA 92539 LICENSED CONTRACTOR'S DECLARATION I -hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C39 License No.: 774482 Datf3 _ J Contract ' f0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structu; a is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds.or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ( ) I, as owner of the proper, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Contractor: WILLIAMS ROOFING P 0 BOX 391841 ANZA, CA 92539 (760)399-9394 LIC. No.: 774482 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/24/2015 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of.the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fo hwith comply with those provisions. 1 Applicant`�•'P' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, .each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to.building construction, and hereby authorize representatives of this ci toe er upon the ab 've mentioned property for inspection purposes. Date: Signature (Applicant or Agent)? Prescriptive Certificate of Compliance: Residential Reroof CF-IR-ALT-ReRoc Projec Addreaa: Q2Z Climate Zone Permit 8 M ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roof surface to be replaced exceeds 5095 of the existing root area, or 1,00011r, whichever Is less, the net roofing arae must meet the roofing product "Cool Roof" requirements of §152(b)lHl, 152(b)114I1, or 152(b)1Hi11. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof" requirements: ❑ Cool roots not required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch). ❑ Cool roofs ng required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5Ab/I Alternatives to §152(b)1HI and §152(b)HIi, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0-85 hr.fe-• F/Btu or at least a 314 inch air -space Is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or ❑ In climate zones 10, 12 and 13, with 1 V of free ventilation area of attic ventilation for every 150 tt2 of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling Insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §151(f)2: or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck Insulation above vented attic:. Exception to §152(b)1 Hili, Low -slope roof ( pitch 5 2:12) ❑ Building has no ducts in the attic. - Other Exceptions ❑ Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/112 are exempt from the Cool Roof criteria. NQ TE: if any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in § 118(i) are not applicable. Do not fill table below. NOTE: When a Coal Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement Roof Slope Product Weight Product Aged Solar Thermal ft/ I I. I k_OA k a CRRC Product ID Number' s 2:12 > 2:12 < 51b/ft2 = 51b/te T W Reflectance 3'4 Emitta ce SRIs t ❑❑ [34,rj.3 13 a[ I 03 Note: if no CRRC-I label is available, this compliance method cannot be used, use the Performance Approach to show compliance, 1. The CRRC Product 10 Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.ordv uc=earch.vho 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc, . If the Aged Reflectance Is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(p,,.,,w - 0.2) to obtain a calculated aged value. More p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at htfy;0i w enM..ca.gQv/6t/e24/ and enter the resulting value in the SRI Column above and attach atopy of the SRI- Worksheet to the CF- YR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coven recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other NOTE: When a Coal Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement 0 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is accurate and complete. i 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part! 1 and a of the California Code of Re ulations. lei Name: �WAAi Signature: ae -e� Compo ft/ I I. I k_OA k a V D i Addr 20 - box 39 (9 q -J License: City/S �, i � Phone,( l Crit•.. For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. 4 ,a-� •. i�£� .3'`Y�3a�T�Pg e�e''�iR'f•?hfl .�•;4�a �; NOR P-Nx „, DESCRIPTION" s yx ACCOUNT'S* ! #� AMOUNT." r:PAID PAID DATE �.,cG3+,.w 'dF' 1s, x?, �.',:.,e,,.,n.,..RY:--kw ;`�f�.,a4'Y., iS±,.trwSx.<<.{„n,.-.n:"t` ,-QTY -=.d=r. 3)-- — a3^+ dmn .dei._-_4� y. '".»`,_„. as m:,,e(t Dea�hi•?-.„ �,bi- ,.,,..--r, ...sl,.nfv+, itx.'Y.'�..�., ._ .,. .. ;�.... +:•s-,. BSAS SB1473 FEE 101-0000720306 0. ' $1.00 $0.00 ..£i'.':d:.f '. il._.U.^: Yryyy,_:;, rYk $:!'r'.Y R '� '�a'§'(-. 'tea 9 ; < PAIDBY� � ��,��ra£ � "Fmi�?i%34tii"%”: i' -< � � �s � ,4 '.a"i, .::,.:On:°<iY• r�'x"C.'rd � �REGEIP,:Ts#� t< t-ero.S• .P.a 4�..y CHECK# � rCLTD BYY a "�::�,u.,..��w�..>,�.„���`�:.� ;, �.,METFiOD s � ,3y Total Paid forBUILDING STANDARDS ADMINISTRATION BSAt $1.00 $0:00 ;' a�:F t � :.�i`x�: a -: .r;W..3.;. 4 ,,,..,�-`' ,. �� c��, d d. "'�”. `sa.?". .-a, :i•w:.3�-'�'F'. ;.x'u�3 � ,, �",�F->r3” � .....%� ' E r a;`.•'�-' sg,"' v�,..-w�xt 3r�n.'� AMOUNTS ,t�DESCRIPSTION�ACCOIJNT=� A Zx QTY r_ t rPAIDts� EsPAIDDATE, =..3� ...-...*�._w}V.. 4i... RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $34.80 $0.00 $$z- z..::%...i.'s.X' 'i F ��'4' XbtCilt "'4 TzOffim, =j'E } r ei:.. "..G Sa.. '- BY,' " bME7HOD n„ .` 3 X< +.RECEI � aCHECK #t ICCTD :�k�.',"R �'!" NO, *._DESCRIPTIONxa �� � :'$�:'=r%�"" T*°•�"»°."«+iCkx sr k,=,,x I' �' ACCOIJNT,r, 17'AC ,$ ASS - '^,d5r.,.k-:3.`.'i"rm.. QTY`AMOUNT s PAID`:;` PAID"DATE < > 7.a >>. sNt?4 .: .:. a : �¢>; �o RE -ROOF - FIRST 2,000 SF RE -ROOF 1017000042404 0 $49.31 $0.00. is �' 4F & v:y: -ffi `'f.:>PAIUBY� uy G';' ' _ s S'K{- N3'� S 410 t'RECEIP:T �'i. [�°'C. S # 24•r` YWy R V„ g,,} CHEGK#g'E X.. i.5,'T ihc-•. r'. i .].d%.i�.v r,�..F"e i'3t:*r=.:%3§A:?-rC.•n.... F:w:wr�',. t:w-ZF'W +44i'ss SAik"r,tSf',L�x h&vr➢'A.:-t5r..,.a5 W:•.e§e�-,�§iiZmi?+,i":tw.i et`;v.� .+i:au'�v •?i: l:.,�:h.,:.v?It.✓.ti�.w CPYr'-f x:CLTD,:BY;`F in ..M§" 3'. xkS . q ` DESCRIPTIONv�xACCUUNT.a =£ xF.s aa. s�.'.i�diiEfdi?. • 'x F V $ w'xsg�, �P�QID�? v°.k.. s' RIM �� �, � � r:� �PAIDi.'.D`ATE' RE -ROOF = FIRST 2,000 SF PC 101-0000-42600 0 x$98.62 $0.00 :'S' :Ei.. J 3: "F' e: S .r Y$, ry Rvs'•a'4 y��. ?fR fii -4�e .�££ F :. :`� METHOD Y,(i'� J ��.ff�.,Yt c!fl'[.'Y...4 `.?i 4 ,+�); RECEIPT#,' �•Y P Q_ SH -r "9 &.. CHECK# t#*�•.:4",. i&.,. CCTD BYE Y•4.'+yeti i Y'&C',. %.Ad.55u.f.:iS»4t.<b !dt� .?s...r. aatS164 $°:Z:,$.:.G�: :az , _.�±`i,.*S`,F -,a1. [.. '.C. i Total'Paid forRE-ROOF: $182.73 $0.00 • • •• Description: PGA WEST RES II HOA REROOF FINANCIAL•• Type: RE -ROOF Subtype: Status: APPROVED Applied: 2/24/2015 MFA Approved: 2/24/2015 MFA Parcel No: 762230028 Site Address: 80218 HERMITAGE LA QUINTA,CA 92253 Subdivision: 28118 Block: Lot:7 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $19,493.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REROOF NEW FOAM ON ALL FLAT DECKS ONLY 4600 SF 2013 CALIFORNIA ENERGY CODE. NAME Applied to Approved Printed: Tuesday, February 24, 2015 9:30:58 AM 1 of 2. SYSTErAS FINANCIAL•• ADDITIONAL DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 CHRONOLOGY $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT WILLIAMS ROOFING P O BOX 391841 ANZA CA 92539 CONTRACTOR WILLIAMS ROOFING P 0 BOX 391841 ANZA CA 92539 OWNER • MICHAEL BRINDA 3 SKYCREST IRVINE CA 92253 Printed: Tuesday, February 24, 2015 9:30:58 AM 1 of 2. SYSTErAS FINANCIAL•• • DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 Printed: Tuesday, February 24, 2015 9:30:58 AM 1 of 2. SYSTErAS DESCRIPTION ACCOUNT' QTY - AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY RE -ROOF - EA 101-0000-42404 0 $34.80 $0.00 ADDITIONAL 1,000 SF RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00 SF . RE -ROOF - FIRST 2,000 101-0000-426000 $98.62 $0.00 SF PC Total Paid for RE -ROOF: $182.73 $0.00 TOTALS4 $183.73 $0.00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE PRE -ROOF FINAL" PARENT PROJECTS Printed: Tuesday, February 24, 2015 9:30:58 AM 2 of 2 C SYSTEMS V tern ff, City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico nn La Quinta, CA 92253 - (760) 777-7012 i� Building Permit Application and Tracking Sheet Permit # Project Address: Pa VIP6 wner's Name: 146 A. P. Number: Address: Legal Description: City, ST, Zip: � ZZS3 Contractor: �,kfjn elephonc. Address:Project Description: J' City. ST. Zip: zj Z53 ( -f Telephone:7bb-,3 y 3q_f State Lic. # 4 q City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: '. State Lic. #: Name of Contact Person: iIi Construction Type: Occupant% : Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: k Telephone N of Contact Person: — All Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE M Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Catcs. Plans picked up Construction Flood plain plan Plans resubmitted. Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up SANI.I. II.O.A. Approval Plans resubmitted Grading 1\ HOUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person AJ-P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 5#rr